About the tenth edition of the diagnosis and treatment plan, the authoritative answer!
The State Council Joint Prevention and Control Mechanism held a press conference on the afternoon of January 9th to introduce the tenth edition of the diagnosis and treatment plan. Let’s pay attention together!
Medical treatment is an urgent task for the prevention and control of epidemic situation in COVID-19.
Currently,Medical treatment is an urgent task for the prevention and control of epidemic situation in COVID-19.It is an important focus to move forward the diagnosis and treatment gateway and treat critically ill patients. askPromote the upgrading and expansion of medical resources.Ensure the equipment, facilities and medicines, and do a good job in human resource allocation and personnel training. Find out the base number and situation of key populations, and strengthen health monitoring and early intervention. Give full play to the role of medical association,Open the channels for people to see a doctor, seek medical treatment and refer them.To ensure that patients with severe risk can be found and transported in time. Adhere to the combination of traditional Chinese and western medicine, give full play to the role of traditional Chinese medicine, carry out scientific and standardized diagnosis and treatment work in strict accordance with the tenth edition of the diagnosis and treatment plan, improve the cure rate, and reduce the rate of severe illness and death.
Compared with the ninth edition of Covid-19’s infection diagnosis and treatment plan, what changes have been made in the tenth edition?
The tenth edition of the diagnosis and treatment plan is based on the implementation of "Class B and B management" for Covid-19 infection, and revised according to the measures of epidemic prevention and control optimization. In particular, combined with the characteristics of Omicron mutant and the actual clinical characteristics of clinical infected people, experts were organized to conduct research and demonstration, and the relevant contents were revised on the basis of the ninth edition of Covid-19 pneumonia diagnosis and treatment plan.
First, the management has been adjusted. In terms of admission measures,Cases are no longer required to undergo centralized isolation treatment.. According to the measures for prevention and control of infectious diseases of Class B and Class B, infected persons in Covid-19 can,Some people can choose home treatment, while others can go to medical institutions for treatment.All kinds of medical institutions at all levels can accept patients infected by Covid-19, and the infected people should be treated in designated hospitals and sub-designated hospitals for centralized isolation treatment.
The second is inDischarge standardOn the change, for patients who need to be hospitalized,Nucleic acid detection is no longer required in grasping the discharge standard.. Clinicians decide whether to leave the hospital after comprehensive judgment according to the patient’s disease diagnosis and treatment requirements, especially his basic illness and clinical symptoms.
In addition, the new diagnosis and treatment plan has been further enriched and optimized.Measures and technical means of clinical diagnosis and treatment. For example, in terms of diagnostic criteria,The positive antigen test of new coronavirus was included in the diagnostic criteria.. In terms of clinical treatment, we should strengthen the advancement of the gateway, and also intervene early for mild cases, especially for some elderly patients with basic diseases, and strengthen symptomatic and supportive treatment.Prevent mild illness from turning into severe illness.. Further standardize the diagnosis and treatment of critically ill patients, and further improve the relevant early warning indicators. By grasping the early warning indicators, we canEarly implementation of timely treatment measures for critically ill patients.. Adhere to the combination of traditional Chinese and western medicine, especially pay attention to the unique role of traditional Chinese medicine in clinical treatment. Strengthened Covid-19’s concept of co-treatment of infection and basic diseases.
How is the tenth edition of the diagnosis and treatment plan defined for severe cases infected in Covid-19?
In order to better guide clinical practice, the tenth edition of the diagnosis and treatment plan emphasizes that severe cases of new coronavirus infection are defined asPneumonia caused by Covid-19 infection is the main manifestation of severe cases.Other basic diseases aggravate and induce basic diseases, etc., asSevere cases caused by basic diseases or other diseases.
There is a basic definition of severe illness caused by Covid-19 infection. The first isClinical symptoms are aggravated, the second isOxygen saturation at rest is less than or equal to 93%,Or the oxygenation index is less than 300, and hypoxemia and severe hypoxemia cannot be explained by other lung diseases or other systemic diseases,We classify this as a serious case caused by infection in Covid-19.
What are the emphases of different types of severe cases in the treatment plan?
In view of the severe pneumonia caused by Covid-19 infection, we emphasize thatRespiratory support, includingEarly oxygen therapy, prone position and airway managementWait. Other severe diseases are carried out through multidisciplinary cooperation mode, aiming at basic diseases, including pneumonia and multiple organ failure.Organ supportTo minimize the risk of serious illness and death.
Why did the age standard for judging severe and critical high-risk groups change from over 60 to over 65?
In clinical practice, it is indeed found thatThe proportion of people over the age of 65 who have basic diseases, especially those who have not been vaccinated, is more severe and critical.At present, this phenomenon has also been found in clinic, so the diagnosis and treatment plan has been fine-tuned, but whether it is 60 years old or 65 years old,It should be emphasized that those who are accompanied by basic diseases and have not been vaccinated need more attention. It is hoped that these high-risk groups will be included in the management, early intervention and observation in clinical practice, and the problems will be transferred to higher-level hospitals for further treatment in time to minimize the risk of serious illness and death.
How to treat the symptoms related to Covid-19 infection with traditional Chinese medicine? Do you need to go to the hospital?
In order to prevent the occurrence of a medical run, if you find yourself with COVID-19’s uncomfortable symptoms, you don’t have to be nervous. You can choose drugs and treat them at home according to the Guidelines for Home Chinese Medicine Intervention for Covid-19 Infected Persons issued by state administration of traditional chinese medicine. After using this treatment,If there is no obvious symptom relief within 48 hours, or the high fever is still very heavy, you should go to the fever clinic of the medical institution in time.In case the disease changes, especially for the elderly, there may be no obvious fever, but if it appears,Weakness, mental paralysisIf such symptoms do not improve after using some drugs, you must go to the hospital as soon as possible and in time.
What effect does oral small molecule antiviral drug have? What should I pay attention to when taking it?
So far, there is no specific medicine to treat Covid-19 infection, and comprehensive treatment is still emphasized, including symptomatic support therapy, early antiviral therapy, early oxygen therapy, immunotherapy, anticoagulation therapy, etc. For important organ failure, such as respiratory failure, there is also respiratory support therapy and organ function support. Antiviral treatment is an important part of comprehensive treatment. In the tenth edition of the diagnosis and treatment plan,Antiviral therapy includes oral small molecular antiviral drugs.
Small molecular oral antiviral drugs can clear or inhibit the virus by directly inhibiting virus replication, alleviate clinical symptoms, shorten the course of disease, reduce the risk of severe illness, and ultimately reduce the risk of hospitalization and death.It is characterized by oral administration, which is convenient and can be used in hospitals, communities, clinics and outpatient clinics. However, we emphasize oral antiviral drugs for small molecules, one of which ismorningThe sooner you use it, the better. Generally, it is best to use it within 5 days, and the effect will be greatly reduced after 5 days.. The other is for severe high-risk groups, that is, the elderly, those with basic diseases, those who have not been vaccinated, etc. These severe high-risk groups give priority to use, which can reduce the risk of severe illness.The general population has little use value after infection.Because drugs have interactions and adverse reactions, weEmphasize the use under the guidance of a doctor.